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HomeMy WebLinkAboutMiscellaneous - 23 NADINE LANE 4/30/2018 G 23 NADINE LANE 210/025.0-0136-0000.0 i ' 101 HIGH STREET, PO BOX 40, NORWICH, CT 06360 FOUNDED 1840 INSURANCE COMPANIES (860)887-3553 — TOLL FREE 1-800-962-0800/1-800-243-4080 — FAX(860)886-8270/(860)887-2898 www.nlcinsurance.com June 2, 2015 Inspector of Buildings 1600 Osgood Street North Andover, MA 01845 RE: Insured: Arumugam Chinnasamy Property Address: 23 Nadine Lane Company Policy Number: H5205540 Date of Loss: 02/14/15 Claim Number: C55067 Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Sec 3B is appropriate, please direct it to the attention of the writer and include reference to the captioned insured, location, policy number, date of loss, and claim number. On this date, copies of this notice have been sent by first class mail to the municipal officials named above at the address shown. Sincerely, Sue White LaMarche Associates 5 North Road, P.O. Box 250 Chelmsford, MA 01824 800-349-1525 Fax: 978-256-8590 June 2, 2015 Building Commissioner/Inspector of Buildings NORTH ANDOVER, MA 01845 Board of Health/Board of Selectmen NORTH ANDOVER, MA 01845 NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139 SECTION 3B Claim has been made involving loss, damage or destruction of the property captioned below, which may either y exceed ceed $1,000.00 or cause Massachusetts General Laws Cha ter 14 a 3, Section 6 to be applicable. If an notice under Massachusetts General Y _ e al Laws, Chanter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss, cause of loss and LA file number. Insured: ARUMUGAM & NIRMALA CHINNASAMY Loss Location: 23 NADINE LN NORTH ANDOVER, MA 01845 Policy Number: H5205549 Date of Loss: 02/14/2015 Cause of Loss: Water LA File Number: MA-2-29471 On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. John Anderson Adjuster LaMarche Associates,Inc.-800-349-1525 Page 1 of 1 9'155 Date.A/?? -/f TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SA 14US This certifies that . /. " . .!. . .���r h has permission to perform . ./ .. . . . .%?�O .�'�' !y7. .�. s.. . . plumbing in the buildingsof ..' �!�!mU at. . 23. � � b'rth n over Mass. Fee. Zo,� el,Lic. No.. Z33 i . . . PLUMBING INSPECTOR Check # Date.. ! .! �t. . . . ... .. HpNTh o? 0 4 TOWN OF NORTH ANDOVER F 9 • PERMIT FOR GAS INSTALLATION �,SSAC HUS0 -�►� sCLo ' This certifies that . �'7. . . . . . . . . . . . . . . has permission for gas installation . in the buildings ofd�. ?!na at . Z3 Nort Andove W MasFee.Zoe CJS? Lic. No.. �`�3 3Gh�r2 <? ?r . . . GAS INSPECTOR Check# 7856 ' �' ao .I o+ fi u► to qd y�, vp „, a tv t1 ;"� rn El '� ;'� 000aa000 � r4 Ile c oc► oocao © o ►� 3 a IL � � �• � � ro Q RANGES � c ' �, El Ovr.NS (� [FURNACES q WATER HEATERS DRYERS OAS GENERATOR5 w R I I.AIIQRATORY COCKS COWMRSION BURNER . El►� �, ROOD Tor vNrrs vcrrrED ROOM!H'I'Rs. ' rool,>rIGA1'I; w TESTS OTHER � i 11' f M'£f!1 I , �'•}:t}, ..ISI ' , ' Lil •./l 17 ti£ 11� t �Yat Tis,11 �. �1 L .11 if't � =+t :.i=-�1 �� •i1J. }{t il.} �. L r till t -y � J it .y •r . / • .. r J � • l � ummm M�MMM�M.MMMM -mmommm� Lr t • 511 �X 5517 f tl'.11 M- • _ {fl u:l[" !`" )" LJ i£ 1 :tl�'� Ys :.'1 f I,�Y,f li 1t' _Iii,• s t)7.':=i ffj; —=}t 10:11 ' ',£ 571:1 Il_ -±1'-' L t1 .1 1 v t•t. f,t.� - t 171£5'1 I7l:l Tlstl II% ' S 1 ll li:�} i`, atit< <t 77 f.} ,t)a .......... f }; tl• ,11 f• ..1 ;ry t TIM%i 1 ti 11,7r • !:•T=t t ,1+T-3bt1 rf17 ri.:!Si•:a, - 'cul 1 -,_�£t,, cf; ul .u�l £Y:u•,t. � t. n r•Tt s I:lt tF -{ t.% 7£tr:.11 1 t ly f't f U :`l:M,1 t<-!!1. t:1lff �l- 111 'I Itl t li• t - !• I Y:.1[ ftrl l_, 9 0Date. . 7 f J NORTq •�ti0 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 41 SSACMUS� This certifies that .� �! -' . .+ . `''t ... . . . . . . . . d has permission to perform � i-A. H -YI TC;A. AL .Lte- T . / plumbing in the buildings of . . .�Ir �t . .1�^�.��-^. . . . . . . . . . . . . . at . �. ` !0!°! . 0 -. . . . . . . , North Andov r, Mass. Fee.-300Q. .Lic. No.. .%/. � . . . . . . . . 4 . _ PLUM ING INSPECTOR Check # r©� S MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: MA. Date: Permit# Building Location. Q ' Owners Name: 1�- Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ R dential New:E] Alteration:❑ Renovation:❑ Replacement: Plans Submitted: Yes❑ No FIXTURES DEDICATED N Z; SYSTEMS Zz W Y O N > U Z LU zZ °� w Z ~ Y Q '� U w U o�c z z c N z Q Q m 0 ONO H ONC K of } W Q in Y 0 O S F N to W FW- LL F Q Q Z CC O' Z N U G. X Q ~ Q 3 CG W 0 D W W _Z LL = J Q O F U 2 Q U. nN Y a 2 W W d' OZi O W tt Q Q N _N O 0 �.., > > O Z Z N 1� h W I QNa Q m m O LL Z Y to L�7 Q N SUB BSMT. Q 3 BASEMENT 1ST FLOOR 2"o FLOOR 3RD FLOOR 4T"FLOOR ST"FLOOR C"FLOOR 7T"FLOOR 8TH FLOOR Installing Company Name: Check One Only Certificate# Addrea a t City/Town � orporation v -- Stater ,/� ❑Partnership / Business Tel:pv ✓ Fax: ❑Firm/Company Name of Licensed Plumber: ///X/A40u'd4__. INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes ❑ If you have checked Yes,please indica he.type of coverage by checking the appropriate box below. A liability insurance policy Other type of yp indemnity ❑ Bond ❑ he licensee does_ not the insurance coverage required by Chapter 142 of the OWNER'S INSURANCE WAIVER:I am aware that t Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information 1 have submitted or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Title [ember Signature of Licensed Plumber City/Town [Master 9q I D OFFICE USE ONLY) APPROVE []Journeyman License Number: 7761 Date. A . .. . ... .. NORTIj o? �` TOWN OF NORTH ANDOVER F 9 • - PERMIT FOR GAS INSTALLATION . , �,SSACNUSES t This certifies that . �� `^��,1��(,� . '!�<-�.. .�.+.`�. . . . . . . . . . . d has permission for gas installation -�?!��. .. � G"�c�� in the buildings of . . . . . .l r?.S . . . . . . . . . . . . . . . ... . . . . . at . . . .c�.�?. .1.✓.4l . . ��-� , N rth Andover, Mass Fee Lic. No.5 Y'b Y . . GAS INSPECTOR Check# I D 5-5 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING Ci /Town: /y City/Town: , MA. Date: Permit# Building Location: 2P Q� Owners Name: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ In titutional ❑ esidential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: 2 Plans Submitted: Yes❑ No ❑ FIXTURES vi LU lZ Z W Y F- - !A Q 0 rn Q x W m = O 0 W V W ~ fn O E W W Z F- z — >' W Z ix O O z O W O v� Lu WW w 9 m O a a o O w X > N O Z fA W 0 W u) O < W x LL W l`- W Q W W W Z N x W I— W H a Z W W Z C7 J I— F— O Z J U' L- Fy. x W H W W R F_ O W Q iY IQ m > O z 0 N >z F_ x W V O u. C7 C7 x x g O a H M. z7 > ~O SUB BSMT. BASEMENT FLOOR 2 Nu FLOOR 3 FLOOR 4 FLOOR 51H FLOOR 6 IH FLOOR Pr-FLOOR —6'—FLOOR Installing Company Name: Check One Only Certificate# eporation 5� IT". City/ . State: ❑ Partnership Business Tel:60.3 9 1695 Fax: ❑ Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YesB-145-0 If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only ❑ Signature of Owner or Owner's Agent Owner ❑ Agent By checking this box❑,1-hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Ty f License: By Plumber Title ❑ aste tter Signature of Licensed/P�lupmber/Gas Fitter City/Town ❑Journeyman APPROVED OFFICE USE ONLY ❑ LP Installer License Number: �Z'D Office Use Only �} - u lr Lfammnnu>r# of 141agoar4uBe1#o Permit No. "<<J 43tvartment of Public Aafrtg Occupancy& Fee Checked r p \ 3190 (leave blank) l �J 'a BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1VVU t APPLICATION .FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CM 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (%Yi or Town of NORTH ANDOVER To the In pector of Wires: The udersigned applies for a permit to erform the electrical work d7 below. it Location (Street & Number) Owner or Tenant �✓ Owner's Address '(J - Is this permit in conjun 'on with a building permit: Yes ILS No ❑ (Check Appropriate Box) Purpose of Building $SI A1 j) ' Utility Authorization No., :q Existing Service Amps —� Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service 62) Amps A_..1&sLV0ltS Overhead ❑ Undgrnd [k"*' No. of Meters _ 3 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No. of Transformers No. of Lighting Outlets No. of Hot Tubs I KVA v Swimming Pool Above In- VA No. of Lighting Fixtures q� cl— n grind. El grind. ❑ I Generators K V No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones d No. of Air Cond. Total / No. of Detection and No. of Ranges No. tons Initiating Devices No. of Disposals . R✓ No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices Municipal No. of Dryers I Heating Devices KW Local ❑ Connection ❑Other No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES = NO = I have submitted valid proof of same to the Office. YES = NO = If you have checked YES, please indicate the type of coverage by checking the appro iate box. INSURANCE jY BOND ` OTHER = (Please Specify) (Expiration Date) Estimated Value of le trical Work S , Work to Start Inspection Date Requested: Rough Final Signed under t nalties of perju FIRM NAME 10 LIC. NO. IPT—W r'— Licensee Signature LIC. NO. It 7A Bu Tel. No. �R_fSJ 2 Address • Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Ownep Agent (Please check one) Telephone No. PERMIT FEE S V v (Signature of Owner or Agent) x-6565 .. .-r-4-r�..�.7+f-.�-.-.rr--�ti•..r..-a-.,,.,.,;,,,,..-�,�.,ryy�"-.�y...-�-...�„-.....-+-...�,.3:�."hti-� ��"rt`�q f p i Date............ ...� . ... 2525 NORTH TOWN OF NORTH ANDOVER A p PERMIT FOR WIRING a SS^CMUSE CU } f a This certifies that }. has permission to perform ..... .j... ..t �.�J.......... V.Q.. ....... . v!M r J wiring in the building of....\/J..t..WsAj..........af P......................... at. .��. . 4.9...... ...1.................... ,North Andover Mas t Aee.Q.dA44. Lic.No. .A&I-s................. .. ......................................... ELECTRICAL INSPECTOR `r WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File C�j yr —rr'w'rr s .;t n. f t {.;�i »t hail•r« Location �3 x No. ��� Date —7' w s _ ti m °t "OoT;�ti TOWN OF NORTH ANDOVERp F p Certificate of Occupancy $ s BuildinglFfame Permit Fee $ T- �ss�e14 Foundation Permit Fee $ o Other Permit Fee $ Xb p97. Sewer Connection Fee $ ZQX.09�2 A� Water Connection Fee $ 1677, 4 TOTAL $ 7_671 JM Bui in spec �182707 Div. Puy c Vorks 8374, f4 %Location No: d Date 1 t2 m MORTIS , TOWN OF NORTH ANDOVER g p Certificate of Occupancy $ Building/Frame Permit Fee $ -)C) C us t� Foundation Permit Fee $ 8O d Other Permit Fee $ Sewer Connection Fee $ V _ Water Connection.Fee $ TOTAL $ Building Inspector ,-� 8686 Div. Public Works PER3"T NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP KdO. J LOT NO. ��— �S 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE — ONEAbI SUB DIV. LOT NO. �I _ J 'ATIONPURPOSE OF BUILDING JN Q a4 I �bWNER'S NAME ) !O �A � P NO. OF STORIES '' SIZE ° :!6)WNER'S ADDRESS ,`�`'��G BASEMENT OR SLAB �m A.RCHITECT'S NAME � CT�G'��--cam � SIZE OF FLOOR TIMBERS 1ST L//� 2ND 7, �3 3RD r BUILDER'S NAME SPAN v/"[ yL- ° DISTANCE TO NEAREST BUILDING i6�► DIMENSIONS OF SILLS DISTANCE FROM STREET �® (' POSTSg�z` S DISTANCE FROM LOT LINES — SIDES C.}! REAR /r¢ GIRDERS "l' " (,s tl trI Z_ AREA OF LOT /'� / �' - FRONTAGE 7 57 HEIGHT OF FOUNDATION �A O THICKNESS �Q 7 IS BUILDING NEW •1/I SIZE OF FOOTING !/'�� X t IS BUILDING ADDITION No MATERIAL OF CHIMNEY IS BUILDING ALTERATION I 'AA® IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE (��� IS BUILDING CONNECTED TO TOWN WATER �J ` BOARD OF APPEALS ACTION. IF ANY �1/® r IS BUILDING CONNECTED TO TOWN SEWER • IS BUILDING CONNECTED TO NATURAL GAS LINE / INSTRUCTIONS 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY LAND COST SEE BOTH BIDES 5—'06 t REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST I"7 I4 I p PAGE 1 FILL OUT SECTIONS i - 3 EST. BLDG. COST PER SQ. FT. G °{- M PAGE 2 FILL OUT SECTIONS 1 - 12I EST. BLDG. COST PER ROOM DATE Z ti FEE PAID -SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS I, PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED QJ I RUI�INa I foracTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT /V Z, 9/ FEE OWNER TEL.k 37� G03� PERMIT GRANTED PERMIT FOR FRAME/BUILDING �7�/ aa3� m. CONTR.TEL.A` 19 CONTR.LIC.N DATE:._____----FEE PAID H.I.C.# BUILDING RECORD 1 OCCUPANCY 12 • - SINGLE FAMILTHIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION - 1 " v 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B l 2 I3 CONCRETE BL K. PINE - - BRICK OR STONE HARDW D _ PIERSPLASTER �i _ DRY WALL UNFIN. 3 BASEMENT I - AREA FULL FIN. B'M'T' AREA _ '/, 1/2 '/ FIN. ATTIC AREA _ NO B M T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS L, 9 FLOORS CLAPBOARDS ye B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDNV D ASBESTOS SIDING COMMCN VERT. SIDING ASPH. TILE �}�+_ STUCCO ON MASONRY �.J;!,•,}"�.,i±it 903 T STUCCO ON FRAME -, f -. BRICK ON MASONRY ATTIC STIRS. & FLOOR .:.� BRICK ON FRAME- CONC. OR CINDER BLK. STONE ON MASONRY WIRING _ STONE ON FRAME .��tt�j ::.$; ,'' fSUPERII ADEOUOR IP R ONE .< 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) ?j FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY - "4 WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER r ROLL ROOFING I MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G - — «�•. _ _ UNIT HEATERS ... ...� 7 NO. OF ROOMS GAS OIL B•M'T 2nd ELECTRIC 1st 13rd I NO HEATING NORT Town of � � � , 4Andover j, . 329 - rt dower, Mass. ` % z— 19c1�'' j T LAK E ' ' COCMIC HE WICK ADRATED P? 7 E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System � ' ` (,�. •1 T ����^` BUILDING INSPECTOR THIS CERTIFIES THAT.............���?44�........`.. ...............................!.1. ................................................ ........ Foundation f 1� has permission to erect. �.... 04nt .buildings on ...............�i, -t � Rough to be occupied ......... ............0AQ...../.AiL................................... Chimney provided that the person accepting this permit shall in every re pect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Intion Alteration and Construction of Buildings in the Town of North Andover. . AacMIT POR FOUNDATION ONLY PLUMBING INSPECTOR C B. . VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. Rough PERMIT EXPmjL-2� FEE PAID Final ELECTRIC,�jV� CTOR UNLESS CONS U Rough' " . ............ ........ ...... ...... ...... .. ... ................... .. ............. BUILDING ECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove oQ� Rough P y P Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT i 1 A ry J. _. .. - .l..r..+...s...:.:._aye.._�_.r_ •rrT�'�^fl..aaa...._..__...—a_..._.- .. ..:.._ .__'_�'._?,•.moi e+s-..- _ 113'm U - LOT RET RasE FORS - INSTRUCTIONS: This foie is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance: with any applicable local or state law, regulations or rjirp�aeant$: - ****************Applicant Afills out .this section**** APPLICANT-": ��r//Uly �/LC� �EVEIv E�rr�" Phone �Tr/ 003 LOCATION: Assessor's :dap Number °�s Parcel Subdivision ,N9���yE SNE' Lot(s) r� Street /!/.¢Di,%E Z.�NF' St. Number 23 it,iri[,irkttir•kfr-kkir'Artktx'iticxxtiOT��C�a? Se Ort y•Arxiie�etyirkxxxExi'iir***iiitxtir RECCM-MF-N DATIONS OF WN =S: Date Approves 05S Cvl.ta�•en s I Date Approved _ _ewn Planner Date Rejected i ==en--s Date Approved Food Inspector--ea' =.= Date Rejected --x Dat_ Approved S4pt-ic Ir,spec tor- ea:_- y Date Rejected Ccri..uents f_P1--1_`f'o' P,.fblic Works - sewer/water connections - driveway per-mit- 6-Z -lf i-� De_aartme_^.t ,rc � cY(N,"c� Smoke {�t1c�.�T��L K4-,4 fir air Received by BuildLng Insrec Date The Commonwealth of Massachusetts ( b Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name* LLrcbV� location* /A, city 1 aV�t oJC�'� vl�� 2hone# 7� I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. company nsmgLc� Cvi�tS` Cv -% address city. insurance co poiicv# I am a sole proprietor, ;eneral contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: e—�.. company name• -G��. address. city phone#: insurance co policy# r Ma company name address ci!Y bone# insurance co Roti # a �'on ee ' -aeeessa Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pq' s and penalties of perjury that the infornaanion provided above is true and correct SignatureDate Print name C�"� �T'�C"'�- Phone# official use only do not write in this area to be completed by city or town official city or town: permittlieense riBuilding Department ElLicensing Board 0 check if immediate response is required pSelectmen's Office OHealth Department contact person: phone#; r'IOther (noised 3195 PIA) .. . i .0 1� i i EXISTING �\ co FOUNDATION LOT,.,- 19 A=5266 S.F. Ess 5�•6� M FOUNDATION LOCATION PLAN I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS C£RTIfICAT/ON DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS,WETLANDS,EASEMENTS CLIENT: SCOTT CONSTR. ORDERS OF CONDITIONS,ETC.) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY THIS CERTIFICATION IS MADE AND LIMITED PURPOSE OTHER THAN THAT OUTLINED ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN & SERGI INC. TO THE ABOVE CLIENT. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE 6 PROHISITED.CHRISTIANSEN & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE Of THIS DRAWING OR ANY INFOR- MATION CONTAINED HEREON. I LOCATION: LOT 19 ti NADINE LN.-NO.ANDOVER,MA. H OF c A SCALE: 1"=20' DATE: 7/31/95 S1 �Q• q/ Nd 5 CHRISTIANSEN Q SERGI PROFESSIONAL LAND SURVEYORS ENGINEERS 160 SUMMER ST. HAVERHILL,MA. 01830 TEL 508-373-0310 ©1995 BY CHRISTIANSEN & SERGI INC. DWG.NO.:94015014 NORT Town oAndover NO. 329 oft dover, Mass.,7 T O LAKE1. COCHIC.Ew ICn A0RATED PPS\ ,�Cl E BOARD OF HEALTH PERMIT T D Food/Kitchen ^ � Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....f , `lll�c .. a- ,..` Q.�� " ...................................................... ....... oundation "t�2Co��_.. 1 i has permission to erect.VZOLn..... 44 buildings on ..23.... �> �....l�.c �i1-t lzo�g q t0 be OCCUpled as ilmfi.4 ...IhAm1. .q ......... . . .....�.(L....4AQ:..................................................... tmney provided that the person accepting this pe mit shall In every rpect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the In �tiion Alteration and Construction of "'a Buildings In the Town of North Andover. ���tMIT PO FOUNDATION ONLY PLUM ING I SP CTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C. S i tz �� FEE PAID Final PERMIT EXP I ELECTRIC LL IN PE i UNLESS CONS U o 9, PERMIT FOR FRAME/BUILDING d ... ........ ........ .. ............. .. ... ........ Service ' DATE. qK FEE PAID .�.— BUILDING ECTOR Occupancy Permit Required to Occupy BuildingGAS INSPECTOR ou / 'V 0 Display in a Conspicuous Place on- the Premises — Do Not Remove Final f No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Ins p r. / FIRE DEPAR EN PLANNING < <"R� CONSERVATIOa- Jb F tt No SEWER/WATER —FINAL DRIVEWAY EN Y PERMI -� l y CERTIFICATE OF USE & OCCUPANCY Town of North Andover Date Building Permit,Number k t r,► F y sit g. yyrall� .`� c', i ji THIS CERTIFIES THAT THE BUILDING LOCATED ON N ACCORDANCE MAY BE OCCUPIED AS WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. W A6LO (12.�1E__- E✓ s o•"°e' ,o CERTIFICATE ISSUED TO r 1 `�pm6SC i � is �;' j+ °°.�. -• .. o� s o • 2aaAAww - ! ADGw D ing 's L S Ft S * i f}.e n yep t . • - 1 r Opti „�#,V'y,� � .. t „ 1I 'r l NADINE LANE North Andover Carroll Designs loose IN Ns DD oo \ DOrEdHEM o0 00 24 X 28 SPLIT COLONIAL 3 BEDROOMS - 2 1/2 BATHS - GARAGE �� w -_ ■■■ ■■■ _ __- ■■ ■■■ ■■■ ■■■ no No - -- - ■■■ ■■ __ ■■■■■ lom=m=■ - _ ■■ ■■■ _ _ __ - _ �_ _ so Ell _—. _ — ■■■ ■■■ on _ ■■■ ■■■ _ Ell EN ■■■ ■■■ ■■■■ ■ i■.■ ■ �■ ■■■■ ■ moi■■ ■ ■� � �� - ■■■ ■■■ = ■ ■■■ ■ i■■ ■ Carroll r Designs PABox 1967 Andover,AIA 01810-0033 RESDEUM DESOR 508-475-1486 Fax 508-474-9354 itm ® Alan Carroll Date MARCH 1995 Q RIGHT ELEVATION REAR ELEVATION z 1/8" = 1,0» 1/8„ _ 110" Wi t� O General Notes: Q 4 U 0 1. All dimensions are to be field verified by the Contractor and any Z adjustments made accordingly. W Q 2. All work shall be completed in compliance with all applicable Building, Z = Plumbing, Electrical codes. Any other local, state and/or federal codes that may apply to this project shall be considered as part of the Q construction documents. ::c O N co 3. All waste materials and debris shall be removed and disposed of properly z Z X 4. All structural materials shall be void of any defects that may diminish their capacity to function in an adequate manner. Structural Engineering `Cf" or any other professional services that may be required shall be N provided by others under separate contract and terms. 5. All penetrations (Plumbing, Electrical, Heating, etc.) thru floors shall be completely Fire Caulked. Job No. 6. All walls adjacent to stairs shall have Fire Blocking installed adjacent 10058 to the stringers. Dw9 Nm LEFT ELEVATION 7. Any liability by Carroll Designs either assumed or implied shall be limited to the cost of the Design/Drafting Fee for this project only. A - 2 1/8" = 1'0" If these drawings are copied and used for any project other than that listed in the title block shall remove Carroll Designs of all liability. [ SH2 OF 9 23'81/2 4'13/4" 12'13/4„ 10 7'0" 908" 7'Ok2" 2'10" 3'5" 28 59Y' X 5'5" _ � i[7 O a DINING ROOM KITCHEN ° QN s 0 p -- 0 =O LO N CV X r-CN GARAGE FINISH CV All wood constructed walls and o cei'ng to have 5/8" type 0X0 fre rated Wallboard installed - - - - - - - - - = - CL. 10'0" Z—ac"X)c O i cfl LO N N N N '— O N — — — — a 416" 4" 4'03/4" LIVING ROOM CD GARAGE 3'0" 69Y X 5'5" °° PORCH j;wi� ;. 9'0" x 7'0" Overhead door 4" 7'0" 9'0" 1600" 1TIBY2' 6'13,4" 6'1341' low 27'812" 12'312" FIRST FLOOR PLAN 1/4" = 1'0" 10058 3-9 � y - n- 16'1'/4" 216" 9'41/4" 12'0" N 7,0„ 9,13/4„ - 5,41/4„ 4'0" 5'91'2" X 4'5" 2'10" 3'5" ------------ MI o y co BEDROOM #2LLJz BATHrb-to cf) co Lo N o -c�•i j >< U o o in N N CL. 24 2 � " 10" M BATH 0 x 0 0 _ N2'6„ 316„ 3,21/2„ T - - - - - CLOSET <211 F � LOFT I 5'0" SLUNG 0 t ' I 710" 5'13/4 o cD ip x - � _ O to CZ)p cV N N x cV = O - LJ N O r ^ O J V ' r,BEDROOM 3Lo CD 4'6" 4'434" - .591'2. X 45. " M BEDROOM #1 0 5'91'2"14'50 2'10" X 4'5" 700„ 6,?3 „ 2,41/4„ 610„ 5,81/2„ 6,1''4 6,13/4„ 1610" 11'81/2" 12'31/2" SECOND FLOOR PLAN 1/4" = 1'0" 10058 4 —9 Bulkhead size & locatbn '.�. by 4uider 4010" 710" 9'8" 17'4" 690" r ------------- — ------ -------------------- ------------------------------------------------ ----------------ri 1 3-0- r-------------- --- --------------------------------------------- I 2'10" X 3'S' 2'10" X 3'5" ; Z I � I T FOUNDATION 10" Concrete Wall / 4'0' Pour co 10" Dp x 1'8" W Cont Footing s O I Ix r-------------------------------- 1 , 1 I • I N 1 ► ------------------- ►• ' 3 — 2 x 12 Center Beam GARAGE FINISH —7 p I r n 6 0 6r 0n 6I 0» bpi 4e 61'2n ; All wood constructed walls and ; 1 ceiling to have 5/8" type 'X' fire ; .► rated Wallboard installed 1 1 I I 1 1 T 31/2" Dia.Lally Columns With 2'6" Sq.x 1'0" Dp. I ; .►, ; Footing (4 req'd) I 1 1 0 1 O O ►' ►' N d I 1 1 G7 op / 1 I � 1 '► ' U \ 1 '° 1 / 0 1 1 j ►. 1 U a 1 ►� O 1 I I . » . » 1 1 1 I I VA X 3 5 I L-------------------------------------- ---- -----------------------1 '► '° 1 1 , - 1 � 1 — ------------------- ------------------ -------------- O 1 , 1 ' ° i i ► 1 1 ► 1 1 1 --------J 1 -------� 1 _ - - - - — — — — — — — — — — — — 1 -------------------------------- --- -------------------------- --- 1 6'117/e" 9'01 " 133 n gran 1'3 " 16'0" 11'81'2" NMI ON 12'31'2" WI Linfts: 10' Raised Foundation FOUNDATION PLAN 1/4" = 110" 10058 5-9 i Continuous Baffled Ridge Vent a •Continuous Baffled Ridge Vent " 2 x 10 Ridge Board ' 2 k 10 Ridge Board 12 12 - -- - ROOFING 8 2 x 6 Collar Ties ® 4'0" O.C.- Composite Roofng 2 x 6 Collar Ties ® 4'0" O.C. Building Paper 1 11 1/2" Plywood 2 x 8 ® 16" O.C. CEILING CEILING 2x6016" O.C. 2x6016" O.C. 10" Overhanging Soffit R30 Fiberglass Insulation n R30 Fiberglass Insulation with Venting Vapor Barrier Vapor Barrier �� 1/2" Wallboard 1/2" Wallboard r` FLOOR FLOOR 3/4" Plywood 3/4" Plywood _ 2X8016MO.C. 2X801600.C. WALL Siding,Air Barrier 2 x 6 ® 16" O C. f Sheathing, 2 x 4 ® 16" O.C. N Insulation,Vapor Barrier 00 1/2" Wallboard FLOOR `" FLOOR 3/4" Sheathing 3/4" Sheathing 2X10 ® 16" O.C. 2X10016" M Porch post00 �� = �N SILL 3 — 2 x 12 Center Beam 3 — 2 x 12 Center Beam 1 — 2 x 6 K D 1 — 2 x 6 P T Continuous Sill Gasket 1/2" D•a.x 12" L . Anchor Bolts 3 1/2" Dia. Lally Columns 31/2" Dia.Lolly Columns 00 ® 8'0" 0.C.(max With 2'6" Sq x 10" Dp Footing With 2'6" Sq x 10" Dp Footing i� (see foundation plan for locations) - (see foundation plan for locations) FOUNDATION r- 10" Concrete Wall / 4'0" Pour 10" Dp x 1'8" W Cont.Footing 4" Concrete Slab b 4" Concrete Slab � a SECTION a •s a - DINI SECTION - FOYER 1/4" = 1'0" 1/4" = 1'0" s 10058 6-9 4 Continuous Baffled Ridge Vent 2 x 10 Ridge Board 2 x 6 Collar Ties ® 4'0" O.C. ROOFING Asphalt/Fiberglass Roofing Building Paper 1/2" Plywood 2x8016" D.C. CEILING 2 x 8 ® 16" D.C. R30 Fiberglass insulation Vapor Barrier r� 1/2" Wallboard. 2 x 10 Plate 00 FLOOR r-- 3/4" Sheathing aN " 2 X 8 ® 16" O.C. r� 10 Overhanging Soffit w/vents R19 Insulation ' �s �sws �s stsuts szstsis a�tns nuts sums �s sistQt sts�r ,sis�s � � � `/—WALL Siding,Air Barrier GARAGE FINISH Sheathing,2 x 4 0 16" O.C. Aa wood constructed walls and FLOOR Insulation,Vapor Barrier ceiling to have 5/8" type 'X' fre3/4" Sheathing 1/2" Wallboard � rated Wallboard installed 2 X 10 ® 16" D.C. r— WALL 00 Siding,Air Barrier Sheathing,2 x 6 ® 16" O.C. N Insulation, Vapor Barrier 1/2" Wallboard o 4" Concrete Slab SILL 1 - 2x6P.T,1 - 2x6KD. Continuous Sill Gasket 1/2" Dia. x 12" L Anchor Bolts ® 8'0" O.C. (maxi FOUNDATION •�- e - 10" Concrete Wail 10" Dp x 1'8" W Cont Footing SECTION M BEDROOM /GARAGE 1/4" = 1'0" 10058 7-9 I LW I Lower Platform Framing Lower Master Bedroom Framng All members are 2 x 10 0 16' O.C.(UNA) All members are 2 x 8 ® 16' O:C.(UNA) FIRST FLOOR FRAMING SECOND FLOOR FRAMING 1/8' = 1'0" A I Flush Framed Beam 2 x 10 Ridge Board 2 x 10 R' a Board loo Flush Framed Beam r _ All members are 2 x 8 ® 16' O.C.(UNA) All members are 2 x 8® 16' O.C.(URO.) ATTIC FLOOR FRAMING ROOF FRAMING 10058 8-9 3/4" Plywood ontinuous Baffled , oor Joist Ridge Board Ridge Vent A'r Space ' Roof-Sheathing 2(min.� 1-2x6 P.T, 1-2x6 KD. Continuous Sill Gasket 1/2" Dia x 12" L . Anchor Bolts 2X Fre Blocking @ 8'0" O.C. (max 3 — 2 x 12 Center Beam Roof Rafters 2" A FIRE BLOCKING , _ 1,0., OBRIDGE VENT/ 1/2.1 — 1,0., 0 1/2" Plywood o S11 Gasket aintain 2" (min.) Air space or Caulk 8 e 12 ' 1 — 2 x 4 Bottom Plate /4" plywood 0 Alum. Dip Edge 2 x 8 Rim Joist , j x 8 Fascia with Gutters o T 2 - 2x4Top Plate L2 x 8@ 16" O.C. 2 x 3 Nailer Floor Joists Soffit w/vents e e 10" 0 C INTERM. FLOOR 1/200 1'0" Do SOFFIT 1t _ " " - 1/2 — 10 4 Concrete Slab o Q e Q- Gasket or Caulk 1 — 2 x 4 Bottom Plate 3/4" Plywood with S11 Gasket or Caulk FOUNDATION 2 x 10 ® 16" O.C. 3/4" plywood 10" Concrete Wall / 8'0" Pour 10" Dp x 1'8" W Cont. Footing 1-2x6 P.T, 1-2x6 KD. 2 x 8 ® 16" O.C. 7 Continuous Sill Gasket � 2 - 2x8RrnJoist � 1/2" Dia x 12" L . Anchor Bolts ® 8'0" O.C. (max 2 - 2 x 4 Top Plate 10" Conc. Fdn i E SILL 2 ,/ ,/2" - 110,. F INTERM. FLOOR " = 10001G 10 1/2 CONC. FDN. 's _ 100. 10058 9-9